Qasem Ahmed (@QAlmulihi) / X

Qasem Ahmed

3,343 posts

Qasem Ahmed

@QAlmulihi

Board-Certified Emergency Doctor | MD, MS | #FOAMed #Research | Knowledge Shared = Knowledge²

الأحساء

scholar.google.com/citations?user…

Joined February 2011

Qasem Ahmed
@QAlmulihi
Nov 22, 2024
Vasopressors and Inotropes - Summary Sheet 1️⃣ Norepinephrine (Levo) 💉 Action: α1 > β1 agonist → ↑↑ SVR, ↑ CO, reflex brady may negate ↑ HR 📌 Uses: Septic shock (1st), Cardiogenic shock (1st), Hypovolemic shock (1st) 2️⃣ Phenylephrine (Neo) 💉 Action: Pure α1 agonist →
195K
Qasem Ahmed
@QAlmulihi
Nov 24, 2024
Deadly ECG Patterns 1️⃣ Third Degree AV Block ⚠️ •Complete AV dissociation. •Risk: Cardiac arrest. 2️⃣ Pericardial Effusion 💧 •Low voltage QRS, electrical alternans. •Risk: Cardiac tamponade. 3️⃣ STEMI ❤️ •ST elevation in 2 contiguous leads. •Risk: Myocardial infarction.
175K
Qasem Ahmed
@QAlmulihi
Sep 18, 2024
Wednesday morning shift @ED_KFHU 🔴Traumatic brain 🧠 injury 🔴 #WhiteboardTeaching #foamed
184K
Qasem Ahmed
@QAlmulihi
Nov 21, 2024
🚨 Recognizing STEMI equivalents is critical for rapid intervention: ✔️ De Winter T-waves 🔺 ✔️ Wellens’ sign (A/B) ↔️ ✔️ Posterior STEMI 📉 ✔️ Hyperacute T-waves 📈 ✔️ Sgarbossa criteria (1, 2, 3) 🩺 Time = Myocardium! ⏳
191K
Qasem Ahmed
@QAlmulihi
Nov 22, 2024
Replying to @EM_RESUS
Hi, ER Doc here. I don’t know who needs to hear this, but you don’t need antibiotics for every cough or cold. Viral infections don’t respond to them. Please pass it on.
53K
Qasem Ahmed
@QAlmulihi
Dec 6, 2024
“Ventilator Modes Overview 🫁: 1️⃣ VC (Volume Control): Fixed volume; good for LPV but risk of barotrauma. 2️⃣ PC (Pressure Control): Set pressure; prevents barotrauma but may cause hypoventilation. 3️⃣ PRVC: Adaptive mode; ensures tidal volume but increases work of breathing. 4️⃣
124K
Qasem Ahmed
@QAlmulihi
Nov 14, 2024
Intubation doses can be challenging to memorize, especially during the rush of a code Here’s a simplified summary I made and I use in the emergency department for adults — easy to remember and quick to apply
132K
Qasem Ahmed
@QAlmulihi
Dec 8, 2024
🚨 You’re the doctor. A critically ill patient with high lactate is in front of you—what’s the cause? 1️⃣ Type A: Impaired O₂ Delivery •Decreased O₂: Hypotension, anemia, shock. •Increased demand: Fever, seizures, stress, β-agonists. 2️⃣ Type B: Impaired O₂ Utilization •⚠️
100K
Qasem Ahmed
@QAlmulihi
Oct 16, 2024
Wednesday Morning shift @ED_KFHU 🩸 Upper GI bleed 🩸 #WhiteboardTeaching #foamed
100K
Qasem Ahmed
@QAlmulihi
Aug 29, 2025
Replying to @EM_RESUS
Sudden request for water in a sick patient may reflect hypoxia, acidosis, or shock — a subtle pre-arrest sign. Assume code until proven otherwise
34K
Qasem Ahmed
@QAlmulihi
Feb 23, 2025
🩺 Facing a Patient: Which Steroid? Why? •Mineralocorticoid activity → Fluid retention, hypertension risk •Hydrocortisone = shorter action → Preferred for stress dosing 👴 Elderly: Dexamethasone (no mineralocorticoid) or Methylprednisolone (low effect) 🧒 Young:
104K
Qasem Ahmed
@QAlmulihi
Nov 25, 2024
“Struggling to Remember Oxygen Delivery Devices? @Asshahrani1 Makes It Simple!”
75K
Qasem Ahmed
@QAlmulihi
Mar 22, 2025
ECG Patterns of Occlusion Myocardial Infarction
82K
Qasem Ahmed
@QAlmulihi
Dec 16, 2024
🩸 Transfusion Reactions: Quick Guide Febrile Non-Hemolytic (FNHTR): •Time: ≤ 4 hours •Caused by cytokines in donor blood. •Prevention: Leukoreduction, antipyretics. ⚠️ Acute Hemolytic (AHTR): •Time: During or soon after transfusion. •Caused by ABO mismatch → DIC, shock,
72K